Kevin Caspary, MPH Oak Ridge Institute for Science and Education Community Reception Center Operations for Radiation Emergency Response: Tools for Training.

Kevin Caspary, MPH

Oak Ridge Institute for Science and Education

Community Reception Center Operations for Radiation Emergency

Response: Tools for Training and Planning

National Center for Environmental Health

Division of Environmental Hazards and Health Effects

Objectives

Describe the process flow in a CRC Demonstrate new training and planning

tools for CRC operations

Community Reception Centers

Local response strategy for conducting population monitoring Multi-agency effort, public health lead Staffed by government officials and organized

volunteers Opened 24-48 hours post event Located outside of hot zone Comparable to PODs, NEHCs

Community Reception Centers

Services include: Contamination screening Decontamination Limited medical care

Main purpose is to prioritize people for further care Ease burden on hospitals Manage scarce medical

resources

Home

Public Shelter

Hospital or Alternate Care Site

Affected Area

Surrounding Community

CRC EndpointOrigin

Community Reception Center Process Flow

7 Stations:

Initial Sorting First Aid Contamination Screening Wash

Contamination Control ZoneClean Zone

Registration Radiation Dose Assessment Discharge

Initial Sorting

Initial Sorting

Staff identify people who have : Urgent medical needs High levels of contamination Special needs Decontaminated before

coming to the CRC

First Aid

First Aid

Medical staff care for and/or transport patients with urgent medical needs

Life saving care takes priority! Do not delay transport

for decontamination!

Contamination Screening

Contamination Screening

Staff screen people for external contamination

Radiation detection equipment Consult your state or local

radiation control authority for assistance

Wash

Wash

Staff monitor and facilitate showering

People wash themselves People with special

needs may require additional assistance

Registration

Registration

Staff collect information for registry and long-term follow-up:

Patient name Contact information Destination Proximity to event Time in affected area

Radiation Dose Assessment

Radiation Dose Assessment

Clinical and health physics staff: Screen for internal

contamination Assess radiation exposure Assess need for bioassay Assess need for treatment Prioritize for short-term follow-up

Discharge

Discharge

Staff provide information for people discharged:

Assess need for counseling Discharge to home or

shelter Provide referral for further

care

Community Reception Center Process Flow

Process can be adjusted to meet capabilities Instrumentation Personnel

Additional processes can be added as needed or as possible Pets Relocation services

vCRC Demo

Additional Planning Tools…

RealOpt CRC

CRC-STEP

For more information please contact Radiation Studies Branch, CDC4770 Buford Highway NE, Atlanta, GA 30341Telephone, 1-770-488-3800E-mail: [email protected] Web: emergency.cdc.gov/radiation

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

vCRC available online:http://www.emergency.cdc.gov/radiation/crc/vcrc

Or to request a complimentary copy:[email protected] or 800-CDC-INFO

National Center for Environmental Health

Division of Environmental Hazards and Health Effects